Provider Demographics
NPI:1578455861
Name:EMPOWER HOLDINGS
Entity type:Organization
Organization Name:EMPOWER HOLDINGS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:N
Authorized Official - Middle Name:
Authorized Official - Last Name:FREDERICKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-642-9144
Mailing Address - Street 1:333 W HAMPDEN AVE STE 700
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80110-2337
Mailing Address - Country:US
Mailing Address - Phone:720-642-9144
Mailing Address - Fax:
Practice Address - Street 1:333 W HAMPDEN AVE STE 700
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80110-2337
Practice Address - Country:US
Practice Address - Phone:720-642-9144
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EMPOWER HOLDINGS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-07-19
Last Update Date:2025-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty